Finals Flashcards

1
Q

4 stages of progression to disability [Nagi Disability Model] describes: ***

A
  1. disease
  2. impairment
  3. functional limitations
  4. disability
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2
Q

What is the Model of disabling process? ***

A

Disease/pathology along with lifestyle/inactivity leads to

Impairment–>functional limitation–> disability

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3
Q

Senior fitness test has 6 items which includes:

A

1, 2. upper & lower body strength

  1. flexibility
  2. aerobic endurance
  3. dynamic balance
  4. agility
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4
Q

Senior fitness test includes:

A

a. 30 second chair stand
b. arm curl
c. 2 minute walk
d. chair sit & reach test
e. back scratch
f. 8 foot up & go

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5
Q

Key factors in aging successfully: ***

A
  1. maintains high physical/cognitive fx
  2. avoiding disease & disability
  3. engages in social & learning activities
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6
Q

Common signs/sx of pneumonia: ***

A

a. increase temp & pulse
b. abnormal resp
c. productive cough (thick, colored sputum-green/brown)

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7
Q

a. dull pain under sternum (usually increasing in intensity, dull in nature, spread to left neck/arm in less than 20 min)

b. profuse perspiration
c. abdominal angina
d. pale/flushed face***

are all signs and sx of: ***

A

angina pectoris

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8
Q

Chest pain that is “crushing”, like “elephant on chest” that may radiate to jaw/left arm are signs and sx of:

(along with irreg pulse/resp, profuse sweating, anxiety, weakness, drop in BP, paleness, syncope, SOB)***

A

MI

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9
Q

Tremors (pill-rolling), stooped posture, arms flexed, slowness in voluntary movement are signs of:

A

Parkinson’s

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10
Q

Big, fat, red, painful toe is:

A

podagra

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11
Q

_____ have symptoms of: ***

  • polyuria
  • polyphagia
  • polydipsia
  • weight loss
A

diabetes

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12
Q

Uric acid accumulation in joints produced by liver where the kidneys can’t keep up along with podagra are Signs/Sx of: ***

A

gout

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13
Q

Females with hip fractures are __x more at risk to have a 2nd hip fracture.

A

4

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14
Q

___% of hip fx patients greater than 50 YO die in 1 year post-fracture

A

24

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15
Q

Dx of osteoporosis is by:

A

a. low bone density
b. interval change in bone density
c. Prediction of likelihood of fracture
d. T score

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16
Q

For osteoporosis, T score of 2.5 or lower is at the:

A

hip/spine/ prior spine/hip fracture

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17
Q

For osteoporosis, T score of 1.0 to -2.5 is at the:

A

femoral neck/ total hip/ spine

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18
Q

Recommendations for calcium/Vit D supplement for men & women over 65 YO is ______ mg/day

A

1500

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19
Q

______ involves elderly with diabetes with: ***

  • hot/dry/ flushed skin
  • increased urination, thirst, and hunger
  • HA
  • confusion
  • sweet fruity breath
  • weakness
  • low bp
  • unconsciousness
A

hyperglycemia

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20
Q

______ involves elderly with diabetes with: ***

  • hunger
  • weakness/dizziness
  • shakiness
  • cold/moist/clammy/pale skin
  • HA
  • rapid shallow resp
  • nervousness/excitement
  • rapid pulse
A

hypoglycemia

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21
Q

Male or female: ***

General structure of pelvis is thick & heavy

A

male

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22
Q

Male or female:

General structure of pelvis is thin & light

A

female

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23
Q

Male or female:

Greater pelvis is deep

A

male

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24
Q

Male or female:

Greater pelvis is shallow

A

female

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25
Q

Male or female:

Lesser pelvis & Pubic arch is wide

A

female

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26
Q

Male or female:

Lesser pelvis & Pubic arch is narrow

A

male

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27
Q

Male or female:

Pelvis inlet is oval

A

female

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28
Q

Male or female:

Pelvis inlet is heart shaped.

A

male

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29
Q

Male or female:

Pelvis outlet is small

A

male

30
Q

Male or female:

Pelvis outlet is large

A

female

31
Q

Male or female:

Obturator foramen is round.

A

male

32
Q

Male or female:

Obturator foramen is oval.

A

female

33
Q

___ baby boomers live in the US today.

A

76 million (qtr of the US pop)

34
Q

[T/F] Muscle/tendon changes are at the motor plate where the sarcolemma are fewer, shorter, become smoother & decrease surface area therefore decrease stimulation potential.

A

true

35
Q

[T/F] Aging reduces available energy due to reduction in size & number of mitochondria. ***

A

true

36
Q

[T/F] Aging increase fat/fibrinous tissue within muscle and decrease ability for muscle repair. Scar tissue is increased therefore there is slower, weaker, irregular contractions with longer recovery period.

A

true

37
Q

[T/F] With aging, less able to keep out substances in the epidermis such as chemicals, microorganisms, athletes foot, fissures.

A

true

38
Q

[T/F] With aging in the dermis (provide skin with strength & elasticity) less water, more crosslinking of collagen, therefore thinner and less elastic-fissures.

A

true

39
Q

[T/F] With aging, subcutaneous tissue (provides protection & insulation for underlying skin–typically is poorly vascularized) has less skin support with increased sheer force, decreased fat–less cushion, callous/corns.

A

true

40
Q

[T/F] With aging, there is nerve loss (sensory & motor), loss of coordination, and loss of reflexes. ***

A

true

41
Q

____ is a leading cause of death in US and plays a role in chronic illness of aging.

A

Physical inactivity

42
Q

[T/F] In the cardiovascular system, aging will REDUCE:

  • resting & maximal cardiac output
  • stroke volume
  • maximal HR
  • response to Sympathetic nerv system stimulation
A

true

43
Q

[T/F] In the cardiovascular system, aging will INCREASE:

  • systolic BP
  • peripheral resistance
  • total cholesterol & LDL particle number
A

true

44
Q

[T/F] Resting cardiac output can remain stable with condition exercise in absence of disease, however—the cardiac output will be reduced even in healthy aging.

A

true

45
Q

[T/F] In resp system, aging will REDUCE:

  • lung surface area
  • alveolar elasticity
  • forced expiratory volume (FEV 1)
  • maximal oxygen consumption (VO2 max)
  • P O2
A

true

46
Q

[T/F] Aging will increase chest wall stiffness in resp system.

A

true

47
Q

[T/F] Neuronal loss is normal in the aging brain, but the ability to learn remains generally unchanged.

A

true

48
Q

[T/F] Recall memory is affected more than cognitive fx in normal aging.

A

true

49
Q

At age 1, birth weight _____

A

triples

50
Q

At age 1, ___% growth in height.

A

50

51
Q

After age 1, growth slows to ____ of infant rate.

A

half

52
Q

After age 2, gain _____ lbs per year.

A

5-7

53
Q

After age 2, grow ___ inches per year.

A

2

54
Q

____% of older than 65 have a chance of falling out of a chair. ***

A

more than 1/3

55
Q

Why do we shrink as we age?

A
  • changes in IVD
  • changes in menisci
  • increased osteoclastic activity over osteoblasts
  • increase kyphosis
56
Q

What information do you need to gather to look at geriatrics nutritional status?

A

a. where the meals are coming from
b. how many meals per day
c. SES

57
Q

Most common fx from a fall:

A

spine
hip
forearm….
…leg, ankle, pelvis, upper arm, and hands

58
Q

[T/F] About 1 out of 5 hip fx patients die within a year of their injury. ***

A

true

59
Q

In 2001, the rates of fall injuries for adults 85 and older were __-__x that of adults 65-74.

A

4-5x

60
Q

Nearly ___% of deaths from falls in 2004 were among people 75 and older.

A

85

61
Q

Women are ___% more likely than men to have a non-fatal fall injury. ***

A

67

62
Q

[T/F] Synovial fluid decrease in volume secondary to decreased blood flow where it is LESS elastic as are adjacent ligament structure with LESS movement-joint contract to position.

A

true

63
Q

Fertilization occurs in:

A

ampulla

64
Q

Implantation occurs in :

A

along the anterior/posterior wall

65
Q

[T/F] In Osteoporosis, be aware that alcohol can deplete your calcium reserves–this happens bc alcohol raises your PTH levels.

A

true

66
Q

[T/F] Women has lower bone mass and tend to live longer; also experience a sudden drop in estrogen at menopause that accelerates bone loss.

A

true

67
Q

[T/F] Polymyalgia rheumatica may occur in the elderly along with decrease muscle mass.

A

true

68
Q

[T/F] There is loss of dendritic arborization during aging.***

A

true

69
Q

[T/F] Progesterone is secreted by the corpus luteum (signaled from hCG production) in the endometrium to prevent shedding of the endometrial lining. ***

When implantation does not occur, decreasing progesterone levels permit sloughing of the uterine lining.

A

true

70
Q

[T/F] Reduced gastric secretions lead to an increased post prandial gastric pH (6.5) when aging. ***

A

true